Adolescent Mothers, Grandmothers, Breastfeeding and Complementary Feeding - Full Text View

Purpose

The purpose of this study is to determine whether counseling sessions on breastfeeding for adolescent mothers and their grandmothers in the maternity ward and at home are effective in to improve the exclusive and total breastfeeding rates during the first six month, as well as the convenient timing of supplementary feeding introduction.

Condition	Intervention
Breastfeeding Weaning	Behavioral: counseling sessions


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Prevention
Official Title:	Effect of Intervention About Breastfeeding and Complementary Feeding in Adolescent Mothers and Their Grandmothers

Resource links provided by NLM:

MedlinePlus related topics: Breastfeeding

U.S. FDA Resources

Further study details as provided by Hospital de Clinicas de Porto Alegre:

Primary Outcome Measures:

Frequency of exclusive and total breastfeeding [ Time Frame: First year ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Pattern of complementary feeding [ Time Frame: one year ] [ Designated as safety issue: Yes ]


Enrollment:	344
Study Start Date:	May 2006
Study Completion Date:	January 2009
Primary Completion Date:	August 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: visit with grandmother Teenagers mothers and their grandmothers receive counseling sessions about breastfeeding and complementary feeding.	Behavioral: counseling sessions The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days. Other Names: Group one- no grandmother and no intervention Group two- no gradmother and with intervention Group three - with grandmother and no intervention Group four- with grandmother and with intervention
Experimental: visit without grandmother Teenagers mothers don´t live with their grandmothers and receive counseling sessions about breastfeeding and complementary feeding.	Behavioral: counseling sessions The intervention groups received counseling sessions about breastfeeding and complementary feeding at maternity ward and at home with 7,15,30,60 and 120 days. Other Names: Group one- no grandmother and no intervention Group two- no gradmother and with intervention Group three - with grandmother and no intervention Group four- with grandmother and with intervention
No Intervention: no visit with grandmother Teenagers mothers live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding.
No Intervention: no visit without grandmother Teenagers mothers don´t live with their grandmothers and don´t receive counseling sessions about breastfeeding and complementary feeding.

Detailed Description:

Despite the recognized value of exclusive breastfeeding during the first months of a child's life and efforts for promoting this practice, rates for this pattern of breastfeeding in Brazil are below those recommended by the World Health Organization(WHO), which advocates exclusive breastfeeding during the first 6 months. The last national survey about the prevalence of breastfeeding revealed a median duration of 10 months. However , the length of exclusive breastfeeding was only 23 days.

A lot of studies identified maternal age as predictor of breastfeeding. In African, Asian, Latin American and the Pacific societies, older women, or grandmothers,traditionally have considerable influence on decisions related to maternal and child health at the household level.

Considering all that, interventions intended to increase frequency of breastfeeding, particularly exclusive breastfeeding. However, there are few studies on this subject.

Eligibility


Ages Eligible for Study:	12 Years to 19 Years (Child, Adult)
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Adolescent mothers
Mothers living in the city of Porto Alegre
Healthy nontwin newborns with birth weight equal or greater than 2500g

Exclusion Criteria:

Mothers living with mother-in-law
Mother-infant pairs that were unable to stay together due to a health concern in either the mother or infant
Mammaplasty reductive

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00910377

Locations


Brazil
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil, 90035-903

Sponsors and Collaborators

Hospital de Clinicas de Porto Alegre

Investigators


Study Chair:	ELSA REGINA J GIUGLIANI, MD,PhD,IBCLC	Hospital de Clínicas de Porto Alegre

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

da Silva CF, Nunes LM, Schwartz R, Giugliani ER. Effect of a pro-breastfeeding intervention on the maintenance of breastfeeding for 2 years or more: randomized clinical trial with adolescent mothers and grandmothers. BMC Pregnancy Childbirth. 2016 May 3;16:97. doi: 10.1186/s12884-016-0878-z.

Schwartz R, Vigo Á, de Oliveira LD, Justo Giugliani ER. The Effect of a Pro-Breastfeeding and Healthy Complementary Feeding Intervention Targeting Adolescent Mothers and Grandmothers on Growth and Prevalence of Overweight of Preschool Children. PLoS One. 2015 Jul 10;10(7):e0131884. doi: 10.1371/journal.pone.0131884. eCollection 2015.

Dias de Oliveira L, Justo Giugliani ER, Córdova do Espírito Santo L, Meirelles Nunes L. Counselling sessions increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers. Nutr J. 2014 Jul 17;13:73. doi: 10.1186/1475-2891-13-73.

de Oliveira LD, Giugliani ER, Santo LC, Nunes LM. Impact of a strategy to prevent the introduction of non-breast milk and complementary foods during the first 6 months of life: a randomized clinical trial with adolescent mothers and grandmothers. Early Hum Dev. 2012 Jun;88(6):357-61. doi: 10.1016/j.earlhumdev.2011.09.010. Epub 2011 Oct 15.


Responsible Party:	Elsa Regina Justo Giugliani, MD, PhD, Universidade Federal do Rio Grande do Sul
ClinicalTrials.gov Identifier:	NCT00910377 History of Changes
Other Study ID Numbers:	02-389
Study First Received:	May 28, 2009
Last Updated:	May 28, 2009
Health Authority:	Brazil: Ethics Committee

Keywords provided by Hospital de Clinicas de Porto Alegre:


breastfeeding exclusive breastfeeding lactation counseling teenagers	complementary food adolescent caregivers

ClinicalTrials.gov processed this record on September 26, 2016